Organization Active NPI

Gentle Footcare of Lake Mary LLC

  • Foot Surgery Podiatrist
  • Lake Mary, FL
National Provider Identifier
1720304231
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO3353 Issued in FL
Legal business name
GENTLE FOOTCARE OF LAKE MARY LLC
Practice address
677 Starstone Dr
Lake Mary, FL 32746-6399
Phone
(407) 844-9471
NPI assigned
Apr 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenn Isidro Garriel, DPM
Title
President
Phone
(407) 844-9471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X PO3353 FL Primary

Addresses

Primary practice location

677 Starstone Dr
Lake Mary, FL 32746-6399

Mailing address

677 Starstone Dr
Lake Mary, FL 32746-6399
Phone (407) 844-9471

National Provider Directory

National Provider Directory

Locations

1991 Longwood Lake Mary Rd
Longwood, FL 32750
Phone (321) 368-2846

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1720304231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 STARSTONE DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466399",
            "telephone_number": "407-844-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 STARSTONE DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466399",
            "telephone_number": "407-844-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE FOOTCARE OF LAKE MARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "GARRIEL",
        "authorized_official_first_name": "BRENN",
        "authorized_official_middle_name": "ISIDRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-844-9471",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO3353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.